License holder summary

Kristin Tera Wiseman is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Kristin Tera Wiseman is 712 W. Main St., Ste #100, Plainfield IN 46168. This licensed professional license is not current. The license was granted 11/16/2005 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

Kristin Tera Wiseman
Controlled Substance Registration - Dentist
License number
12010794B
Date granted
11/16/2005
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
712 W. Main St., Ste #100, Plainfield IN 46168
indianalicensing.org
ID 5118719
LAST UPDATED 2024-01-28 23:37:10 UTC

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